scholarly journals Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jacqueline J Loonen ◽  
Nicole MA Blijlevens ◽  
Judith Prins ◽  
Desiree JS Dona ◽  
Jaap Den Hartogh ◽  
...  
Keyword(s):  
Cancer Survivorship ◽  
Shared Care ◽  
Survivorship Care ◽  
Care Model ◽  
Person Centered Care ◽  
Shared Care Model ◽  
Centered Care

scholarly journals One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea

2016 ◽  
Vol 31 (6) ◽  
pp. 859 ◽  
Author(s):  
Ji Eun Lee ◽  
Dong Wook Shin ◽  
Hyejin Lee ◽  
Ki Young Son ◽  
Warrick Junsuk Kim ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Shared Care ◽  
Care Model ◽  
Shared Care Model ◽  
One Year

scholarly journals Shared-care model for complex chronic haematological malignancies

2021 ◽  
Vol 31 (2) ◽  
pp. 165-174
Author(s):  
Verna Cheung ◽  
Nancy Siddiq ◽  
Rebecca Devlin ◽  
Caroline McNamara ◽  
Vikas Gupta
Keyword(s):  
Supportive Care ◽  
Myeloproliferative Neoplasms ◽  
Healthcare Providers ◽  
Shared Care ◽  
Care Model ◽  
Patient Centered ◽  
Shared Care Model ◽  
Centered Care ◽  
Complex Decision Making ◽  
Travel Burden

Myeloproliferative neoplasms (MPNs) are a group of rare Philadelphia-negative chronic leukemias. Disease rarity has resulted in limited expertise concentrated in specialist centres. Patients are often referred to such expert centres for diagnostic issues, complex decision-making, access to novel drugs through clinical trials, and supportive care. Attending such appointments may increase financial and travel burden, increase caregiver stress, and negatively impact quality of life. To address this, the MPN program at Princess Margaret (PM) Cancer Centre has implemented a shared-care model, working with local healthcare providers to provide ongoing management, and supportive care for MPN patients closer to home. This decreases patient travel burden, while maintaining high-quality patient-centered care. In this article we share our experience implementing the shared-care model. This model is potentially applicable to other chronic hematological malignancies and rare chronic diseases. The ultimate goal of shared-care is not to centralize care, but instead to build a community of accessible care for the patient.

scholarly journals 53 Implementation of a Developmental Outreach Clinic housed within a Family Health Team - preliminary findings in building a shared care model for children and youth with mental health and developmental disorders

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e22-e22
Author(s):  
Elizabeth Young ◽  
Rachel Goldfarb ◽  
Laurie Green ◽  
Kathleen Hollamby ◽  
Karen Weyman ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Developmental Disorders ◽  
Family Health ◽  
Shared Care ◽  
Care Model ◽  
Roles And Responsibilities ◽  
Shared Care Model ◽  
Family Health Team

Abstract Background At our inner city hospital, we developed a shared care model between family health teams (FHTs), pediatricians and developmental pediatricians to care for children with mental health and developmental disorders. In phase one of our study, 84 FHT members participated in focus groups to inform the development of our clinic. Family physicians described their role as “referral agent”, “long term supporter” and “healthcare coordinator”. They expressed the desire to “learn” and “do more”, but noted barriers to providing care, including limited training, lack of service knowledge, limited communication, and cumbersome access to mental health and dual diagnosis services. Phase One was completed and accepted for publication. Phase Two describes the implementation of our clinic using a mixed methods approach and report preliminary findings. Objectives To evaluate the first two years of implementation of the developmental clinic housed within a family health team (FHT) an obtain feedback from members of the shared care model. Design/Methods Mixed methods were used including chart review of all patients referred to the clinic and semi structured interviews with primary care physicians, pediatricians and developmental pediatricians regarding their roles in managing children with developmental and mental health disorders, as well as use and impact of the developmental clinic. Results A total of 115 charts were reviewed between Feb 2016 and Jan 2018. Of all patients seen, 34% were female 64% male and 2% transgender. Ages ranged from 1-17 years. Eighty-one percent had an existing diagnosis and were referred for re-assessment while 43% received a new diagnosis: ASD (72%), ADHD (11%), GDD (11%), learning disorder (3%), Anxiety (1%), Other (1%). There was an 8% no show rate. Providers endorsed improved communication through use of a shared EMR for documentation and messaging, and improved service knowledge through availability of a pediatric service navigator who also used EMR to document service and funding applications. Longer term follow up, namely the roles and responsibilities of pediatrics vs. developmental pediatrics vs. primary care remained unclear. Conclusion Implementation of the shared care model for this population with primary care is feasible, and does address some stated barriers to care, including improved communication, increased service knowledge, and provision of reassessments. Further areas to develop include clarifying the roles and responsibilities of the different healthcare providers of children with mental health and developmental disorders, and determining what is needed for long-term follow up and transitional care.

scholarly journals Region wise distribution of childhood malignancies in the state of karnataka and a road map to shared care model.

2018 ◽  
Vol 3 (3) ◽  
pp. S13
Author(s):  
A. Thumallapalli ◽  
Uzra Umme ◽  
A.R. Arun Kumar ◽  
M. Padma ◽  
L. Appaji ◽  
...  
Keyword(s):  
The State ◽  
Shared Care ◽  
Care Model ◽  
Childhood Malignancies ◽  
Road Map ◽  
Shared Care Model

Are we ready for a person-centered care model for patient-physician consultation? A survey from family physicians of East Mediterranean Region

2013 ◽  
Vol 1 (2) ◽  
pp. 394
Author(s):  
Waris Qidwai ◽  
Kashmira Nanji ◽  
Tawfik Khoja ◽  
Salman Rawaf ◽  
Nabil Yasin Al Kurashi ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Care Model ◽  
Cross Sectional ◽  
Person Centered Care ◽  
Centered Care

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices.

Health care utilization among long-term cancer survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 22-22 ◽  
Author(s):  
Emily Jo Rajotte ◽  
Leslie Heron ◽  
Karen Leslie Syrjala ◽  
Kevin Scott Baker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Cancer Survivors ◽  
Care Physician ◽  
Shared Care ◽  
Care Utilization ◽  
Care Model ◽  
Clinic Appointment ◽  
Shared Care Model

22 Background: Survivors of adult cancer face lifetime health risks that are dependent on their cancer, cancer treatment exposures, comorbid health conditions, and lifestyle behaviors. A shared care model, including planned and formal transition of the cancer survivor from the oncologist to the primary care physician needs to be established to ensure appropriate care. Methods: As a LIVESTRONG Survivorship Center of Excellence Network member, the Survivorship Program at the Fred Hutchinson Cancer Research Center has established an outpatient clinic at the Seattle Cancer Care Alliance to meet the clinical needs of cancer survivors. Before their survivorship-focused clinic appointment, adult cancer survivors are asked to complete a comprehensive survey that includes questions on health care utilization. Results: Between August 2013 to December 2014, 142 clinic patients completed the survey. They were 70.4% female, mean age 48 years (SD 16.3, range 22-83) and 21.1% breast cancer, 30.2% leukemia/lymphoma, and 17.6% reproductive cancer survivors. Patients were a mean of 7.8 years (SD 9.5, range 0-43) from their cancer diagnosis at the time of clinic appointment. 70.4% reported receiving oncology care and 87.3% primary care within the 12 months before their survivorship visit. Forty percent reported more than 12 clinic visits in the past year in which they saw a physician, nurse practitioner or physician assistant compared with 6.5 clinic visits in the general population based on CDC, National Health Care Survey reference data. 41.5% had one or more visits to a hospital emergency or urgent care facility within the last year, compared with 39.4% in the CDC NHCS survey. Conclusions: Cancer survivors seen in a Survivorship Clinic utilize healthcare at a much higher rate than the general population. A shared-care model for cancer survivors, including a delineation of roles and specific points of communication, between the oncologist and the primary care physician may help address issues surrounding over-utilization. A cancer treatment summary and a survivorship care plan may be valuable tools to facilitate this shared care approach.

P2-275: DEMENTIA CARE INTEGRATION BETWEEN PRIMARY CARE PROVIDER AND TERTIARY HOSPITALIST: AN INNOVATIVE DEMENTIA SHARED CARE MODEL

2014 ◽  
Vol 10 ◽  
pp. P577-P577
Author(s):  
Mei Sian Chong ◽  
Colin Tan ◽  
Cindy Yeo ◽  
Kang Yih Low ◽  
Philomena Anthony ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Dementia Care ◽  
Shared Care ◽  
Care Model ◽  
Care Integration ◽  
Shared Care Model
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